Operational Support Specialist- Remote

Med-MetrixParsippany-Troy Hills, NJ
Remote

About The Position

The Operational Support Specialist will provide support to the Collections and Billing Teams. This role involves monitoring various financial files, reconciling daily reports, processing worklists for inventory adjudication across all product lines, and generating and analyzing reports. The specialist will interact with personnel to resolve account issues, perform online adjustments, notify management of anomalies, and handle correspondence. Adherence to HIPAA standards for protected health information and information security policies is required.

Requirements

  • High school diploma or equivalent required
  • 1+ years experience working in a revenue cycle insurance function with follow-up/billing experience
  • Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
  • Basic math and typing skills
  • Proficiency in Microsoft Office Suite
  • Strong interpersonal skills, ability to communicate well at all levels of the organization
  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results oriented
  • Excellent written and verbal communication skills required

Responsibilities

  • Monitor new business, cash, returned accounts and other assigned files
  • Reconcile daily placements, import and audit reports
  • Process assigned worklists to assist in the adjudication of inventory in all product lines
  • Generate, analyze and process reports
  • Interact with appropriate personnel to resolve account issues
  • Perform online adjustments on various systems
  • Notify management of inventory and file anomalies
  • Perform follow-up activity as needed
  • Process correspondence
  • Utilize and documents applicable company, hospital and payer systems
  • Other duties as assigned
  • Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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